Parkell Repair Service Form PDF Details

When it comes to the maintenance and repair of dental equipment, the Parkell Repair Service form plays a vital role. Located at 300A Executive Drive, Edgewood, NY, Parkell is a company committed to providing top-notch repair services for various dental devices. Customers are asked to complete the form and include a copy with their repair item to ensure a smooth process. The form requires basic information such as name, address, and the preferred method of contacting, whether by phone, fax or email. Moreover, details about the officer to contact about the repair, office hours, the device in need of repair, its serial number, date of purchase, and the specific problem experienced are crucial. Parkell establishes clear communication by outlining an $80.00 bench fee for most non-warranty repairs, which is waived if the repair proceeds. Customers have the option to pre-authorize repairs up to a certain amount, beyond which they are contacted for approval. This comprehensive approach ensures that both parties have a clear understanding of the repair process, costs, and expectations right from the start.

QuestionAnswer
Form NameParkell Repair Service Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesparkell repair service form, warranty, waived, pre

Form Preview Example

Parkell Repair Service Form

Send repairs to: Parkell, Att: Repair Department 300A Executive Drive, Edgewood, NY 11717

Phone: 631-249-1134 • Fax: 631-249-1242 • E-mail: Repairs@Parkell.com

**Please fill out this form and include a copy of it with your repair.

Name: ________________________________________________________________________________

Address: ______________________________________________________________________________

City: ______________________________________________ State: __________ Zip: _______________

Person in your office we can contact about this repair: __________________________________________

Phone: ____________________________________ Fax #: ______________________________________

E-mail: ________________________________________________________________________________

Preferred method of contact:

Phone

E-mail

Fax

Office hours: ___________________________________________________________________________

Device: ________________________________________________________________________________

Serial #: _______________________________________________ Date of Purchase:__________________

Problem with Device:______________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

An $80.00 bench fee will be charged for most non-warranty repairs; if you go ahead with the repair the $80.00 bench fee with be waived.

Waive bench fee and repair unit?

Yes

No

I pre-authorize Parkell to repair my device if the repair is under $_______________. If the repair is over the

authorized amount we will contact you first before proceeding with the repair.

___________________________________________________________________

SignatureDate

Parkell Use Only:

Date Received: _____________ By: _____________________________________________________________

Accessories Received: _________________________________________________________________________

___________________________________________________________________________________________

Bench Test Fee: _____________ Approved By: ___________________________ Date Approved: __________

Repair Estimate: _____________ Approved By: ___________________________ Date Approved: ___________

How to Edit Parkell Repair Service Form Online for Free

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Step 2: The editor allows you to customize PDF documents in many different ways. Modify it by adding your own text, adjust original content, and place in a signature - all when it's needed!

If you want to complete this document, make sure that you type in the right information in every single field:

1. To begin with, while filling in the Edgewood, beging with the page that contains the following blank fields:

parkell label for repair conclusion process explained (stage 1)

2. After performing this section, go to the next stage and fill in all required particulars in all these blanks - An bench fee will be charged for, Waive bench fee and repair unit, Yes No, I preauthorize Parkell to repair, Date, Signature, Parkell Use Only, Date Received By, Accessories Received, Bench Test Fee Approved By Date, and Repair Estimate Approved By Date.

Repair Estimate Approved By Date, Date Received By, and I preauthorize Parkell to repair inside parkell label for repair

It's very easy to make an error when filling in the Repair Estimate Approved By Date, so make sure to go through it again before you'll finalize the form.

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